Registration Form

Please provide the following information: **() Designates required field.***
*Parent's Last Name:
*Father's Name:
*Mother's Name:
*Street Address:
*City:
*State:
*Zip Code:
*Home Phone (with area code):
Emergency Phone Number:
E-Mail:
*Church Affiliation:
Would you prefer your statments and newsletters by e-mail or regular mail?
*:	E-mail Regular Mail
*Student's Name:
*Student Grade Level:
School Attended for 2008-2009 (If other than home school):

Which classes would you like to sign your student up for?
1st Hour Classes Offered (9:00-9:55):
2nd Hour Classes Offered (10:00-10:55):
3rd Hour Classes Offered (11:00-11:55):
4th Hour Classes Offered (12:45-1:40):
5th Hour Classes Offered (1:45-2:40):
6th Hour Classes Offered (2:45-3:40):
7th Hour Classes Offered (3:45-4:40):
Tuesday Classes:
Please put any notes you may have about your registration here---:

Why do you want your student to be a part of GRACE Home School Association? Please explain what your expectations are for the teacher, student, and parent.
*:
Please Note: If a student has been expelled from a previous school, the student and parents must meet with the GRACE Board to determine the possibility of enrollment.
We have read all the rules as stated in your 2008-2009 catalog and agree that we and our children will abide by them. We understand that failure to comply with the rules by us or our children could result in immediate expulsion for the remainder of the year from BRACE Home School Association without any refund. GRACE reserves the right to deny any registration. We understand that GRACE is committed to a Reformed understanding of the Scriptures. We understand that if we drop any class before the first class meeting, we will get a full refund, less the registration fee. We understand that if we drop any class on or after the day of the first class meeting but before the end of the day of the third class meeting, half of the full year's tuition cost for each course will be refunded. We understand that if we drop any classes after the third class meeting, we will not receive a refund and we will be required to pay any remaining balance. We understand that GRACE has fixed financial obligations requiring them to have a no refund policy.
Do you consent to the above statement? (By entering your name you agree to the above statement.)
*Name of parent sending in the form:

Please be sure that you don't overload your student and find that you need to drop a class later. We will not give you a refund. GRACE has fixed financial obligations requiring us to have a no refund policy.